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Individual
SUSAN ANNE FAY
Active
Individual
SUSAN ANNE FAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN MSN MSW LCSW CPNP
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
34003872
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71001242A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000212827
BCBS
—
01
—
000000282033
BCBS
—
Enumeration date
05/17/2006
Last updated
09/11/2025
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